Comparative study of effectiveness of Sublingual Misoprostol (600mcg) versus Intramuscular Oxytocin (10U) in AMTSL(Active Management of Third Stage of Labour)
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Objective: To compare the effectiveness of sublingual misoprostol(600µg)versus Intramuscular Oxytocin(10IU) in the active management of 3rd stage of labour and to study the blood loss and side effects in both the groups. Materials& Methods: This study was conducted in the Department of Obstetrics& Gynaecology at Government General Hospital, Guntur during the period of March 2016 to August 2017 in low risk vaginal deliveries adhering to certain inclusion and exclusion criteria .A total of 200 cases were studied with 100cases in each group. Group-I were given 3 tablets of misoprostol200µg each and Group-II were given inj.Oxytocin 10IU intramuscular after cord clamping and cutting. Data regarding age, parity, amount of blood loss, predelivery and postdelivery Hb levels, need for additional oxytocics, side effects, postpartum complications were taken and analysed. Results: The average blood loss was 217.9ml in misoprostol group compared to 233.45ml in oxytocin group. The fall in haemoglobin percentage was 0.9g/dl and 0.8g/dl respectively. The difference in observation of both groups was statistically not significant(p>0.05).The incidence of PPH was 2% in both the groups. The need for additional oxytocics was also 2% in both the groups. Shivering and pyrexia were the commonest side effects noted in misoprostol group. Conclusion: Both sublingual misoprostol and intramuscular oxytocin were equally effective in the active management of 3rd stage of labour
Authors and Affiliations
Dr. K. Swarupa Rani, Dr. P. Lavanya.
Keywords
Related Articles
- EP ID EP244873
- DOI 10.9790/0853-1610157377
- Views 48
- Downloads 0
Treatment Adherence of Known Diabetics in Rural Field Practice Area of Veleru, Krishna District, Andhra Pradesh.
Introduction: India currently has 62.4 million people with Diabetes and 77.2 million people with pre-Diabetes. Diabetes mellitus is one of the leading causes of premature death worldwide along with other noncommunicable...
“Correlation between Serum Uric Acid Level and Glycated Haemoglobin Level in Patients of Diabetes Mellitus A Hospital Based Study”
Background: Over the past three decades, the number of people with diabetes mellitus has increasing rapidly worldwide and it is one of the most important public health challenges to all country. Therefore, the present st...
The Interhemispheric Transcallosal Approach in the Treatment of Cavernous Malformation of the Third Ventricle Case Report and Literature Review
Intracerebral cavernomas represent 5-10% of all vascular malformations of the central nervous system. Their location in the third ventricle is very rare. Only about a hundred cases have been reported in the literature so...
Study of Thyroid Disorders in Pregnancy
Objective: To evaluate thyroid profile in pregnancy with special reference to anti-TPO antibodies and maternal and foetal outcomes in those with deranged thyroid profile. Materials and Methods: It was a prospective study...
An Observational Study of Use of Azathioprine As Immonosuppresant For The Treatment Of Central Serous Retinopathy Associated With Tolosa Hunt Syndrome
Tolosa Hunt syndrome is a rare disorder characterized by painful ophthalmoplegia by nonspecific inflammation of cavernous sinus or superior orbital fissure. In this disorder there is unilateral retroorbital pain and pals...